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�10 ..-_. <br /> 1 <br /> COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> « : <br /> ,.187 F 1313 Sherman Street, Room 215, Denver, Colorado 80203 ph(303)866.3567 <br /> REQUEST FOR FULL OR PARTIAL RELEASE OF PERMIT AREA/SURETY REDUCTION <br /> Please indicate if you are requesting: <br /> FULL/FINAL RELEASE OF ENTIRE PERMITTED AREA(per Rule 4.17) <br /> ACREAGE REDUCTION (PARTIAL RELEASE per Rule 4.17) <br /> 1 wish to release . acres at this time. <br /> You will need to submit with this request:a map showing the acreage to be released from the current <br /> permit and updated mining and reclamation plan maps that will accurately depict the new permit <br /> boundary if the release is approved. <br /> SURETY(Bond)REDUCTION (per Rule 4.14) , °j <br /> If you are requesting a surety(bond)reduction you�will need to include with this request a new estimate <br /> of the actual cost to reclaim the site based on what it would cost an independent contractor to complete <br /> reclamation, including unit costs for reclamation activities as appropriate to the operation to comply <br /> with the provisions of Rule 3.1 and the Permit's approved Reclamation Plan. <br /> File No.:M- 20 079 Site Name:- r—ES A k PI-1 , RECEIVED <br /> County: PU e C>L.-c MAR 0 2 2016 1 <br /> L Permittee: _:t]2N�C T, 3E4-7IC M Q * SONS, /N c. DIVISION OF RECu1MATI01d <br /> �pNWG ANQ SAFETY <br /> Permittee Address: l Jr 5To GIGY��4 l� P�o, <br /> Operator(If Other than Permittee): A/-,4� <br /> Permittee Representative: K41RK C.AcR 1='t�1 `7j?--252-9019 <br /> �7015' 1(otoo � 7657 7)`015 <br /> Certified Mail# <br /> In accordance with Rule 4.17.1(2)the Operator shall include the names,addresses and phone numbers <br /> of all owners of record to the affected land. Please attach additional sheets for this information if <br /> required. <br /> QQ8,01 -y c aR <br /> 2,.300 0 STD C14/A-R L-,.S tZIU. <br /> PLI-ULOl('0 8 I CC 6 9 778 <br /> �l Annual Fee/Report (no Map -2015) <br /> No Violations <br /> Continue on following page.. <br />